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In an era where evidence-based medicine is the goal, it is vitally important for practitioners to understand how to prioritize and interpret the onslaught of data coming at us. ...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
How many times have you given your patient IM ceftriaxone for that presumed gonococcal infection? … still counting? Many of us learned (or at least thought we learned) that ceftriaxone has to...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Do you order blood cultures for all your ED patients with a fever? Obviously no. What’s your decision making process on ordering this test? There are really no findings or...
Michelle Lin, MD |
It’s coming. Influenza season is almost upon us. Influenza season typically peaks in the United States during the Jan-Feb months and can start as early as October. You can read about...
Michelle Lin, MD |
A 65 y/o man with a history of prostate cancer presents to your ED from home appearing fairly well and a mild cough for 3 days. His vital signs are:...
Michelle Lin, MD |
You are a fourth-year medical student and super-excited to be doing your first supervised central line procedure on an actual patient. You have done so many central lines on mannequins...
Michelle Lin, MD |
We sometimes see diabetic patients in the ED for a worsening foot ulcer. Sometimes it’s the chief complaint. Other times, however, you just notice it on physical exam. So, be...
Michelle Lin, MD |
One of the most challenging diagnoses to make is that of a spinal epidural abscess (SEA), especially if you work in an Emergency Department which cares for many IV drug...
Michelle Lin, MD |
You know how chief complaints present to the ED in multiples? In one week, I had several cases where patients were asking for post-exposure prophylaxis treatment NOT in the content...
Michelle Lin, MD |
Abscess drainage can be painful and time consuming in the ED. Can this article help? 1 Trick of the Trade Apply a topical anesthetic cream on skin abscesses prior to...
Stella Yiu, MD |
At our department’s first annual UCSF High Risk Hawaii Conference 2 weeks ago, Dr. Rachel Chin taught about complications from all of the HIV drugs on the market now. It’s...
Michelle Lin, MD |
Does your Emergency Department have computerized spectrophotometric catheters to measure continuous central venous oxygen saturation (ScvO2) in early goal directed therapy (EGDT) for severe sepsis? That’s what was used in the original...
Michelle Lin, MD |
A health care worker hurried in to the ED after being poked with a needle. ‘It was an old 18G needle with dried blood’, she said. Her puncture had drawn...
Stella Yiu, MD |
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